Provider Demographics
NPI:1083912455
Name:VALENTON, KATHLEEN ROCHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ROCHELLE
Last Name:VALENTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:421 N RODEO DR
Mailing Address - Street 2:PENTHOUSE 1
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4500
Mailing Address - Country:US
Mailing Address - Phone:310-432-6640
Mailing Address - Fax:310-432-6647
Practice Address - Street 1:421 N RODEO DR
Practice Address - Street 2:PENTHOUSE 1
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4500
Practice Address - Country:US
Practice Address - Phone:310-432-6640
Practice Address - Fax:310-432-6647
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA107812207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology